Obstetrics & gynaecology · UKMLA & AKT
Cervical cancer
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Most common gynaecological cancer in women under 35 in the UK
- Caused by persistent high-risk HPV (hrHPV) infection - >99% of cases are HPV-positive; types 16 and 18 account for ~70%
- HPV transmitted via skin-to-skin genital contact including oral sex - lesbian and bisexual women are NOT exempt from screening
Women in same-sex relationships should undergo cervical screening as normal - HPV is transmitted via genital contact and oral sex, not exclusively penetrative heterosexual intercourse. Uptake amongst lesbian women is ~10 times worse than the general population, sometimes due to incorrect healthcare advice.
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